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90-minute live streaming program
  • November 22
  • 1:00 - 2:30 pm EST

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Effective Auditing of Physicians' Notes

November 22

Gain an understanding of audit factors that are most important, and what to do if the audit yields a bad result.

Auditing provider clinical records (i.e, the visit note) is a critical part of building a strong compliance program that defines what is needed in producing a high quality meaningful note. The days of creating three-page clinical notes with useless information are gone. The note must be the focus and deliver the critical information others need to care for the patient. The clinical record needs to mirror the level of coding within the requirements of the American Medical Association Evaluation and Management coding requirements. Three to five-page notes are no longer needed. Learn to effectively audit the provider clinical note and stay in compliance.

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Why Lorman?

Over 29 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Medical Necessity
  • The Reason Why
  • CMS Rules
What Are Auditors Looking for?
  • Why Is the Patient Here? The History of Present Illness HPI
  • What Is the Subjective Presentation? The Review of Systems (ROS)
Meaningful Note
  • The Subjective, ROS, HPI and History, Objective, the Exam, the Assessment and Plan (i.e., the Soap Format of Documentation)
  • The Abomination of the Meaningless Redundant Note
Audit the Note
  • Audit Forms
  • CMS Audit Tools
Compliance as a Part of the Audit Process
  • Audit Compliance
  • Education of the Provider
Physician Extender Clinical Notes
  • State Requirements for Supervising Physician Extenders
  • The Collaborative Practice Agreement
Insurance Company Request for Records
  • The Importance of the Practice Auditor to Review the Records Before They Are Sent
  • Does the Billing Office and the Provider Have Knowledge of These Requests for Medical Records?
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Why Lorman?

Over 29 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This course was last revised on November 22, 2016.

Call 1-866-352-9540 for further credit information.

Live Webinar Registration

  • ACHE 1.5
     
  • The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.
     
  • AHIMA 1.0 including External Forces 1
     
  • This program has been approved for 1.0 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     
  • HFMA 1.5
     
  • This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
     

Audio & Reference Manual

No credit available.

MP3 Download

No credit available.

Who should attend?

This live webinar is designed for medical records professionals, coders, health information directors, billing managers, compliance officers, collections professionals, business and office managers, nurses, health care providers, clinic coordinators and administrators.

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Why Lorman?

Over 29 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Martin E. Neltner

Martin E. Neltner

Neltner Billing and Consulting

  • Founded and was president/chief executive officer of Neltner Billing and Consulting for almost 30 years, this full-service medical management firm provided management support and physician billing services to more than 1000 practices across the U.S., representing more than 350 physicians
  • Has worked with practices and hospitals in multiple medical specialties (i.e., family practice, internal medicine, radiology) and has special interests and expertise in the field of medical and radiation oncology
  • Prior to starting Neltner Billing and Consulting, he worked as a manager of Patient Accounts at a large Kentucky hospital and was also a practice administrator for an oncology group in Kentucky, he also served in the Air Force
  • Known for being a strong advocate for physicians and patients and has planned/participated in grassroots activities on local and national levels, meeting often with members of the American Medical Association, Congress, Senate and other government representatives
  • Served as chief executive officer at University of New Mexico Cancer Center for 7 years
  • Has a 100% success rate in numerous oncology-related Medicare audits
  • Wrote and submitted multiple coding proposals to the American Medical Association for review on behalf of physicians in all specialties
  • Has written numerous published peer-review articles, white papers and abstracts on the topics of coding and reimbursement
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Over 29 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 399439
Published 2016
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